SHELLY WILSON (NPI# 1275712812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275712812 |
| Entity Type | Individual |
| Full Name | SHELLY WILSON |
| Credential | PT |
| Practice Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 6302962222 |
| Practice Fax Number | 6307599510 |
| Mailing Telephone | 6302962222 |
| Mailing Fax Number | 6307599510 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 3435 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801234695 | Shelly A Wilson | Physical Therapy Assistant | 154 Hindman Rd, Butler, PA 16001-2417 | 2013-06-13 |
| 1316381460 | Shelly Renee Wilson | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Place, University of Colorado School of Medicine Gme, Aurora, CO 80045-2581 | 2013-04-19 |
| 1821333964 | Shelly Wilson | Occupational Therapy Assistant | 150 Spring St, Morrison, CO 80465-2532 | 2012-11-30 |
| 1538413414 | Shelly Ann Wilson | Behavioral Analyst | 500 Broad St, Wichita Falls, TX 76301-3109 | 2012-10-31 |
| 1538281266 | Shelly Wilson | Case Manager/Care Coordinator | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2007-04-04 |
| Street Address |
790 REMINGTON BLVD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629046826 | Jason Scott Pequette | Specialist/Technologist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2006-03-14 |
| 1073163218 | Lindsay Elizabeth Thueson | Physical Therapist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2019-09-19 |
| 1104311802 | Brittny E Silke | Physical Therapist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2018-06-25 |
| 1477047140 | Logan Gudde | Physical Therapist | 790 Remington Blvd, Bolingbrook, IL 60440 | 2018-06-18 |
| 1598281164 | Erin Renner | Specialist/Technologist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2017-08-16 |
| 1356878870 | Autum Korosic | Specialist/Technologist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2017-05-15 |
| 1003351008 | Patricia Richardson | Specialist/Technologist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2016-12-29 |
| 1568911089 | Ryan Delcambre | Physical Therapist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2016-09-26 |
| 1871048553 | Chadwick Hadley | Physical Therapist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2016-08-23 |
| 1053764407 | Latifah Teyonna Reid | Specialist/Technologist | 790 Remington Blvd, Bolingbrook, IL 60440-4909 | 2016-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871063933 | Hadasah Maddela | Physical Therapist | 151 E Briarcliff Rd, Bolingbrook, IL 60440-3070 | 2018-12-03 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1407211501 | Carlo Custodio Cordero | Physical Therapist | 1899 Norwich Ln, Bolingbrook, IL 60490-5515 | 2015-12-16 |
| 1649693193 | Terrance Pyron | Physical Therapist | 773 Dunham Ln, Bolingbrook, IL 60440-1282 | 2014-02-03 |
| 1023430691 | Samuel Almoguera Tambago Jr. | Physical Therapist | 2224 Misty Creek Trl, Bolingbrook, IL 60490-5047 | 2014-01-15 |
| 1144658451 | Arlene Cabanban | Physical Therapist | 1879 Raes Creek Dr, Bolingbrook, IL 60490-2116 | 2013-10-23 |
| 1467748582 | Maria Rowena Napenas Partido | Physical Therapist | 1895 Norwich Ln, Bolingbrook, IL 60490-5515 | 2011-06-27 |
| 1992003974 | Richard W Freund | Physical Therapist | 233 Butte View Dr, Bolingbrook, IL 60490-1515 | 2011-03-01 |
| 1194051615 | Radha Godambe | Physical Therapist | 1830 Heather St, Bolingbrook, IL 60490-2077 | 2009-10-19 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.